MEDICARE: ALYSSA MENDOZA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA66016	CA

General Provider Information

NPI Number	:	1083508006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA MENDOZA PA-C

Provider Business Mailing Address
First Line	:	5841 JAMESON CT STE 2
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-0895
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5841 JAMESON CT STE 2
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-0895
Country	:	US
Telephone Number	:	916-500-4989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	02/02/2026

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Directions to “ ALYSSA MENDOZA PA-C” Practice Location

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